Provider Demographics
NPI:1245519479
Name:HOWA-MORROW, JACOB ROWLAND (DMD)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:ROWLAND
Last Name:HOWA-MORROW
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:JACOB
Other - Middle Name:ROWLAND
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:728 SE 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1906
Mailing Address - Country:US
Mailing Address - Phone:503-841-5658
Mailing Address - Fax:
Practice Address - Street 1:728 SE 60TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-1906
Practice Address - Country:US
Practice Address - Phone:503-841-5658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9623122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist